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Production Per Procedure Vs. Production Per Hour

 The debate between production per procedure vs. production per hour is a hot topic in dental practice management. Each model has its pros and cons depending on your clinical philosophy, practice goals, and how you want to motivate and compensate providers. Let’s break it down:

🦷 1. Production per Procedure Model

➕ Pros:

  • Simple & Transactional: Easy to track, and bill. Need a higher fee schedule to make work.

  • More predictable: Each procedure has a high set fee, making it easy to forecast daily/weekly revenue.

➖ Cons:

  • May discourage comprehensive care: Incentivizes more procedures over smarter treatment planning.

  • Doesn’t reward time-intensive cases: Long procedures (like full-mouth rehab or complex endo) may be disincentivized.

  • Not ideal for multi-disciplinary care: Doesn’t reflect the value of time spent on diagnostics, planning, or patient education.

⏱ 2. Production per Hour Model

➕ Pros:

  • Rewards efficiency and time management: Encourages dentists to be productive with their time, not just their procedures.

  • Supports comprehensive, value-based care: Allows for appropriate time on case planning, patient communication, sedation, or multiple procedures per visit.

  • Better aligned with team scheduling and block planning.

➖ Cons:

  • Requires strong time discipline: Inefficient scheduling can hurt production numbers.

  • Newer concept: Many dentists and team members are still used to focusing on the fee per procedure provided.

🧠 Real-World Insight

Many progressive DSOs and private dental practices (especially those integrating EOS, Overjet AI, or Same-Day Dentistry) are shifting toward hybrid models that emphasize production/hour as a better true measure of clinical and operational efficiency.

🔁 Patient Experience Factor

ModelImpact on Patients
Per ProcedureMay feel "nickel-and-dimed"; fragmented care
Per HourEncourages fewer visits, comprehensive care

Patients benefit when:

  • Treatment is consolidated (less time off work)

  • Dentists aren’t rushed through complex procedures

✅ Recommendation

For dentists and patients, the production per hour model is generally better long-term, especially in:

  • Comprehensive or restorative-focused practices

  • Practices aiming for fewer but higher-value appointments

  • Environments with strong clinical autonomy and team scheduling 




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